Individual provider Active NPI

Cheryl Annette Segal, NP

  • Family Nurse Practitioner
  • Virginia BCH, VA
National Provider Identifier
1003036690
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0017001003 Issued in VA
Practice address
297 Independence Blvd
126
Virginia BCH, VA 23462-2911
Phone
(757) 385-0511
Fax
(757) 743-5161
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0017001003 VA Primary

Addresses

Primary practice location

297 Independence Blvd
126
Virginia BCH, VA 23462-2911

Mailing address

2900 Eriksen CT
126
Virginia BCH, VA 23451-1238
Phone (757) 412-2641

Other identifiers 1

IdentifierTypeStateIssuer
1861562472MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113001030 VA Practitioner - Nurse Practitioner 8729037098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Virginia Beach CurrentSince Dec 17, 2012 Accepting new patients
City of Virginia Beach CurrentSince Dec 17, 2012 Accepting new patients

Locations

3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453
Phone (757) 219-2133

297 Independence Blvd
Ste 126
Virginia Beach, VA 23462
Phone (757) 385-0511

3432 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 385-0684

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1003036690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 ERIKSEN CT",
            "address_2": "126",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234511238",
            "telephone_number": "757-412-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 INDEPENDENCE BLVD",
            "address_2": "126",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234622911",
            "telephone_number": "757-385-0511",
            "fax_number": "757-743-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "CHERYL",
        "middle_name": "ANNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017001003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia BCH, VA

Sources for this page

Verify at the official NPI Registry.